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Exam (elaborations)

NURS319 Final Exam With Complete Solutions

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NURS319 Final Exam With Complete Solutions...

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  • September 23, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS319
  • NURS319
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Easton
NURS319 Final Exam With Complete Solutions


How is diabetes diagnosed? - Answer -A1C of 7 or >



-fasting plasma glucose > or = 126 mg/dL



-2 hour plasma glucose level > or = to 200 mg/dL



-pt w/ polyuria, polydipsia, polyphagia, and unexplained weight loss or random plasma
glucose > 200 will be treated



what are the manifestations of diabetes? - Answer -polyuria, polydipsia, polyphagia



-hyperglycemia



-unexplained weight loss



what is diabetes the leading cause of?

-Answer-

End-stage renal disease

Adult blindness

Non-traumatic lower limb amputations

what are the complications of diabetes?

-Answer

heart disease

hypertension

,stroke

what should nutrition education be for someone with diabetes?

-Answer

eat at regular intervals

should carb count

coordinate diet with activity

weight loss(if applicable)

fruits and vegetables

what is the exercise education with pt with DM?

-Answer

consistent exercise



-exercise 30 min/day for 5 days/wk



-snack before exercise check BGM have simple carb available

-best if 1hr after meals or pre-exercise snack 10-15g

what is the nursing intervention for a patient with hyperglycemia? - Answer -continue
medication regimen

-monitor BGM function

-encourage fluid intake

-notify physician

-urine ketones



-excessive perspiration



- palpitations

, -headache



what is the rule of 15 for hypoglycemia? - Answer -15g of simple carb (4-6oz of juice or
soft drink)



-recheck in 15 min



-if sustained give another 15g



-recheck in 15min



-repeat 2-3 doses, if unchanged call HCP



what is the emergency intervention for a pt with hypoglycemia? - Answer -give 20-50 mL
of 50% dextrose IV



-if no IV access & pt is unconscious give 1mg of glucagon IM or subQ



what is a rapid acting insulin? - Answer aspart, lispro, gluisine



What is the onset for rapid acting insulin? - Answer 10-30 minutes



what is the peak for rapid acting insulin? - Answer 30 min to 3 hr



what is the duration for rapid acting insulin? - Answer 3-5 hours



what are the short acting insulins? - Answer regular

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